Comparing methods to facilitate sit to stand post-stroke

Shears, Jennifer S. (2018) Comparing methods to facilitate sit to stand post-stroke. Masters thesis, Memorial University of Newfoundland.

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Abstract

Introduction: Sit-to-stand (STS) is a prerequisite to walking and independent living. Following stroke, patients often perform STS asymmetrically. Physiotherapists use different techniques to help patients relearn symmetry in STS. The effects of two techniques, verbal and manual cueing on STS symmetry post-stroke were compared. Methods: A randomized outcome-blinded intervention trial was conducted in a stroke rehabilitation unit. 10 participants were randomly assigned to a manual or verbal cue group. Participants completed 40 repetitions of STS daily for ten days. Sitting and standing symmetry, measures of lower limb mobility, balance and gait were assessed. Results: Standing symmetry, balance and lower limb mobility significantly improved in both groups with no significant differences between groups. STS symmetry did not change following training. Conclusion: Both verbal and manual cueing led to improved standing symmetry, however STS remained asymmetrical. The improvements observed in both manual and verbal cueing techniques suggest that effective cueing combined with massed-practice of STS result in improved overall functional mobility.

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